452 Sargo Rd - Roof 1---!=\i`l\.s` f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\ ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
1319f'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1763
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $7,500.00
Issue Date: 7/23/2015
Expiration Date: 1/19/2016
PROPERTY ADDRESS:
Address: 452 SARGO RD
RE Number: 171539-0000
PROPERTY OWNER:
Name: WALLACE, TAMMI
Address: 452 SARGO RD
GENERAL CONTRACTOR INFORMATION:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD QA RONALD WAYNE RUSSELL
Phone: - -
FEES:
BUILDING PERMIT FEE $87.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 452 Sargo Rd., Atlantic Beach, FL 32233 _ Permit Number:
Legal Description R/P pf of Royal Palms, Unit 2A,Lot 20,Blk 18 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$7,500.00, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. Commercial Residential
If an existing structure,is a fire spunkier stem rMed'r(Circle one): Yes No N/A
Florida Product Approval# g ,// j
For multiple products use product approval orm
Describe in detail the type of work to be performed: Re-Roof with metal
Property Owner Information:
Name:Winfree Properties,LLC_ Address:4776 Hodges Blvd.
City Jacksonville State FL Zip 32224 Phone 904-891-2345
E-Mail or Fax#(Optional)__
Contractor Information:
Company Name: a KS t f t n 3 TAX. Qualifytn Agent:
Address: 441/ vin t( City .n.-pcs.^v:llk. State FL Zip 32207
Office Phone if -7!4,4 407 Job Site/Contact Number 9611..Gae.J ?i Fax it ______ __1.109
State Certification/Registration# CSC /327 Vey
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced'within six(6)months.or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for•Electrica Work, Plumbing,Signs, Wells,Pools,Furnaces,Rollers,Healers,
. Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s cijted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal.str - sr local .w regulating construction or the performance of construction.
Signature of Owner ./ __._. Signature of Contractor el)
Print Name Xela /_ Print Name d K-t/SS-
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of _ 20 Day of ,20
Notary P 4°7- T5P.. ' 00966 Notary b tc TERRAP! I1
ceo f
M l
i•
CNOTARY PJ:.
ELlL
ei rr Re sed;
0:b 26.10
ire Ex;tires 51ru2017
NOTICE OF COMMENCEMENT
S.-- •PFEFAPE IN Ch...,I-CATE,
. Permit N . ' / Tax Folio No.
State of r- (n y M. County of I) Et, ki��
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Loyal : • r'= ion • •r• 1 U g
arty ._ing it roved:
1 A li i • WM 1►► s . ZMIIIIMII —
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A cress of property being improved. *AL I . Alf ..._
u
General description of improvements: K e,:14 p
Cr re, �:()1ji S-e... W.(l\1't L I V 1 i 11• P copex h Q LLC
VI Adorers r 41•& a e "' C r,
0...re's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor A _ A e A
Address /7 muds-iaLi/ 2 'i :7at, �cSr'st;U'
/ //,P P1, e2p 7
Phone No. 9e y._ Y>5-) 9'^ fy Fax No. 90 u - 61,..?' - 9 f q
.,,i,.. I f any•
Address
Amount of bond $
Pnone No. Fax No.
Name and address of any person mak,rq a loan for the construction of the improvements
Name t)/iR,
A:IdrCSs
Fnore No Fax No.
Name of oersor ,thin the State of Florida. other than hirisetf, designatec by owner goon•vho-n not ces o• o:^er
documents may he se•vec
Name R& /Rlttase, al e: C ��ll
Ad:ress r ii, 4- , • GI) /
• r none No. QV(' — 71 ,r — / 90 7 Fax No. 9D 4/ — 403.6 - 99.e 7
•
In addito' to himself,o•.une-designates the following person to receive a copy of the Lienor's Notice as provided In
Section 713.06 i2:(b). Florida Statutes. 'Fitt in at Owner's option
Name /7/ 4
Address
Pnore No. Fax No
Exairation date of Notice of Commencement(the exp.ration date is one (1!year from the date cf recording unless a
different date •s specified):
THIS SPACE FOR RECORDER'S USE ONLY i / OWNER
DATE E ./
/2
j�'j Slgnea.
i Brf:re may . Oay o'_�_it1 ./.-k. ,�._----_ r^.County O'•uv21ta1 4Ul1d{�;( scna ly a^oaereC •
Doc:X 2015163553,OR BK 17236 Page 1555, h malt herself a^d a lrrns that at Iteltr ,,.-I TEli �TIL.LI
Number Pages:1
0-*tare 3~1 acc.:ro:i = " 't NOTARY PUBLIC
Recorded 07!1612015 at 02:11 PM, + . .., ` STATE OF FLORIDA
Ronnie Fussell CLERK CIRCUIT COURT DUVAL , ' �;
COUNTY ` ' Comm#FF0164S5
RECORDING$10.00 ! •t. " uo c OI Largo.Stave of L.c. �'� �
i Pay ccnirnlssion expires:
P6rianatiy- ••.,n
Of
1 Produced dent .p, SS^'A ) �aXl